| NPI | 1063394062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIDER ALFONSO PEREZ Owner/Manager 502-536-8928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-12-19 |